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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
Hair Restoration With Dr. Milchak

Hair Transplant

Hair transplants techniques have improved dramatically in the past few years. Advances in FUE techniques provide us the tools to deliver natural results that were not available before.

Hair Restoration With Dr. Milchak

In the past 16 years Ringpfeil Advanced Dermatology has became one of the largest dermatology practices in the Philadelphia are to treat hair loss in both men and women. We see over 700 hair loss patients each year. We help our patients find the root cause of their hair condition, we treat their condition medically, and we offer hair restoration to patients are good candidate for the treatment.

We build one of the most advanced hair transplant centers in the Philadelphia area. Dr. Milchak, our Dirctor of Hair Transplant utilizes both FUI and FUT techniques, combined with light therapy, stem cell, and PRP

Dr. Marissa Milchak - Director of Hair Medicine and Hair Transplant

Facial Hair Transplant

Dr. Marissa Milchak is the Director of Hair Medicine and Hair Transplant at Ringpfeil Advanced Dermatology.

Seeing over 700 hair loss patients each year, Dr. Milchak and her team deliver the most advanced medical and surgical hair restoration treatments available today.

Dr. Milchak is a fellow of the American Academy of Dermatology and a member of the International Society of Hair Restoration Surgery.

Dr. Milchak sees Hair Restoration patients at both our Main Line and Philadelphia Center City offices.

ISHRS logo

FUE Hair Transplant

FUE - Follicular Unit Extraction - is a relatively newer technique in which the surgeon takes individual hair folilcles from a donor area and plug them accurately in the target area. The donor area are usually located in the back of the head where most people have denser hair.

Follicular Units

Follicular units

FUT (Strip) Hair Transplant

FUT Hair Transplant was the first big leap forward in hair transplant in recent years. Here, a strip of skin is cut from the donor area (usually the back of the head, where hair is usually denser). The extracted strip is then dissected and single follicles are separated and prepared for implantation in the target area. The open edges of the donor area are then pulled towards each other and sewn together creating a nerrow scar that is later covered by the hair.

Hair Restoration With Dr. Milchak
Hair Restoration before and after
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FUT - Follicle Harvesting Steps

  • The number of follicles needed is calculated
  • Density in donor area is measured, and strip location and dimension is determined
  • Strip area is marked and shaved
  • Local anathetic is applied to the area
  • Dr. makes the incision to remove the the strip
  • The Dr. sutures and close the skin
  • Technicians separate the follicles from the strip and store them in holding solution

Hair Transplant - Insertion by Dr.Milchak from Ringpfeil Advanced Dermatology on Vimeo.

FUE VS. FUT

FUE & FUT - different in harvesting but similar in implantation

Advantage FUE FUT
FUT Graft survival rate Lower (85%) Higher (95%)
FUT Shaving donor area needed Yes No
FUT # grafts from "safest" donor area Smaller Larger
FUT #grafts / day Smaller (up to ~2500) Larger (up to ~3500)
FUE Scaring in donor area - shape Dot-like Linear
FUE Scaring - Hiding by Short hair Long hair
FUE Recovery time Shorter (a day or two) Longer (two days or more)
FUE Invasive procedure No Yes
FUE Donor area size Broader Limited
Similar # of lifetime grafts ~6000 ~6000
Similar Target area natural look Yes Yes

Pricing

$5-$6 per graft

Facial Hair Transplant

Facial Hair Transplant

We see a very strong demand for beard transplant. While the transplant to this area raises some chanllanges, the patient satisfaction for that procedure is extremely high.

The donor area can be hair from an area between the neck and the chin, but in most cases this area can not supply enough grafts satisfy the desired results. In most cases, most of the hair will be harvested from the occipital scalp (back of the head).

The visible location of the implantation calls for very accurate and artistic implantation. Wrong insertion angles and inconsistant density becomes very visible. The facial hair consists of single and double follicular units that needs to get out of the surface in a 10-20 degree angle.

Most of our patients who are interested in this procedure are 25-35 young man who are looking to increase hair density and hair uniformity. Some patients are interested to enhance specific facial areas such as the sideburn, cheek, or chin.

Dr. Marissa Milchak performin hair transplant surgery

Hair loss causes and treatments

Forms of hair loss Cause Treatments
androgenetic alopecia male/female pattern hair thinning
hormones, genetics
topical/oral minoxidil
finasteride
spironolactone
PRP( platelet rich plasma)
hair transplant
alopecia areata autoimmune condition in which the body attacks hair follicles topical therapies
steroid injections
light therapy
systemic immunosuppressants
telogen effluvium "stress" hair loss, illnesses, childbirth, surgeries, rapid weight loss, emotional/mental distress time- usually reverses
topical minoxidil
PRP
trichotillomania habitual hair pulling
can be associated with OCD or
other psychiatric conditions
habit-reversal therapy
antidepressants
N-acetylcysteine
PRP
hair transplant (after pulling stops)
traction alopecia habitual hair pulling
can be associated with OCD or
other psychiatric conditions
loose hairstyles
topical therapies
steroid injections
hair transplant (after pulling stops)
lichen planopilaris (LPP) frontal fibrosing alopecia (FFA) inflammation attacking hair follicles topical therapies
steroid injections
finasteride
light therapy
systemic immunosuppressants
central centrifugal
cicatricial alopecia (CCCA)
unknown- genetics? chemicals/heat? topical therapies
oral antibiotics
antimalarials
steroid injections
PRP
hair transplant

Male Baldness Pattern - Norwood Classification System

Male Baldness Pattern - Norwood Classification System

Donor Area

The Norwood Class VII depicts the relatively safer donor area. When planing the harvesting the surgeon applies considerations such as

  • Hair density
  • Hair caliber
  • Hair pigment
  • Changes in hair properties as patient ages
  • Root cause for hair loss
  • Hormones stability
  • Reserves for future treatments

How can we help you?

SKIN

Related Procedures

Body Contouring

# of surveys: 3977
Last updated: 11/10/2022 8:45 PM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

Everyone was very friendly and considerate. I did have to wait a little longer for the doctor to come in but the medical assistant was so polite and came in to offer me a magazine.

#12022-11-07

informative and efficient

#22012-09-05 09:52:41

Everything was great. Very prompt, attentive service. Thank you.

#32022-10-22

Staff was very friendly. The office is beautiful, organized, and very clean. I am very happy with my choice to see Dr. Ringpfeil!

#42022-08-11

The general friendliness, and knowledgeability of the Dr and staff.

#52022-01-18

The atmosphere of the office was warm and friendly. The staff was professional and kind.

#62022-03-11

the stafff and doctor were extremely friendly

#72022-08-11

Didn't have to wait long to see to get into the room, or for the doctor to come in. The doctor & medical assistant took the time to explain the medications, when I should take them, how much I should use and what they would do to my skin.

#82022-08-18

The information provided by the physician was very helpful and useful. I would gladly do what she recommended.

#92022-04-10

I liked the paintings that are in the rooms.

#102011-06-02 11:25:09

What can we do better?

(answers:373)

I thought that consideration could have been made re: pricing of skin tag removal since I only had one tag removed.

#12022-04-13

I cant think of anything

#22022-11-05

Better parking?

#32022-06-19

Service was fantastic. No suggestions.

#42011-11-29 13:58:45

Everything was wonderful - no complaints at all!

#52022-07-19

Everything was great.

#62022-06-27

It was a very good visit! Thank You!

#72022-04-22

Impossible! Best medical office experience possible.

#82011-10-17 16:27:23

No room for improvement

#92022-10-16

You guys give excellent service

#102010-10-04 15:02:52

Customer Rating : 4.6

Based on 351 ratings
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